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Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction /

Abdelghany, Yasser Ismail Hussein Smail,

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction / التوتر والتوتر المضاد مقابل تقنية الطاقة العضلية على الاختلال الوظيفي لمفصل العجزي الحرقفي. By Yasser Ismail Hussein Smail Abdelghany ; supervisors Bassem G. Elnahass, Karima Abdelaty Hassan. - x, 88 pages : illustrations (some color) ; 24 cm.

Supervisors: Bassem G. Elnahass, Karima Abdelaty Hassan.

Thesis (M.Sc.)-Cairo university, Faculty of Physical Therapy, 2022.

Includes bibliographical references.

Background: The sacroiliac joint (SIJ) has been long considered an important source of low back pain because its prevalence varies from 10% to 30% with axial low back pain. Several manual techniques were used in SIJ dysfunction (SIJD) treatment as manipulation, muscle energy technique (MET), strain-counterstrain (SCS), and mobilization. However, there is little evidence about the efficacy of MET and SCS have been reported.
Design: Randomized controlled trial.
Setting: Evaluation and treatment were taken at Warraq Central Hospital and El-Sahel Hospital in the Giza governorate, Egypt.
Purpose: Examine the effect of (SCS) versus (MET) on pain pressure threshold (PPT), functional disability, and the innominate angle tilt with SIJ dysfunction.
Methods: Fifty-six patients with SIJD were recruited and randomly assigned to receive treatment with either SCS or MET. The outcomes were PPT by Pressure algometer and functional disability by Oswestry Disability Index (ODI) and the innominate angle tilt by Palpation Meter (PALM). All outcomes were assessed at pre and post intervention and frequency of treatment was 3 sessions/week for 4 weeks.
Results: An intra-group analysis revealed a significant improvement in all outcome measures in both groups while in inter-group analysis, there was a significant difference in frontal innominate angle tilt value and functional disability in favor of the MET group. On other hand, there were no significant differences in pain pressure threshold and sagittal innominate angle tilt between both groups.
Conclusion: Both techniques SCS and MET were clinically successful in the treatment of SIJ, however, the MET was superior to SCS in the improvement of frontal innominate angle tilt and functional disability.


Sacroiliac joint dysfunction.
Sacroiliac joint--Diseases.
Muscle energy technique.
Strain-counterstrain.
Low back pain--Treatment.
Manual therapy.
Physical therapy.


Academic theses

615.82 / A.Y.S.
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